Q. Hiya Dr Moore I’ve got Nail Patella Syndrome which has affected my teeth. I’ve had lots of work done on my teeth since I was a child. When I was 15 – 18 I had four maryland bridges put in which have lasted 15 years. The problem is one keeps coming out now and my nhs dentist keeps cementing it back in but it just keeps coming out again. I asked my dentist if they could do anything different ie implants as he said they use maryland bridges as temporary measures these days. He more or less said i’d have to go private as they would lose out on money if they did another type of bridge. What happened to patient care. It’s really distressing me now as i take pride in how I look and it’s embarrassing as it’s right at the front of my mouth. Any advice, can they do inplants or any other type of bridge that will be permanent. Many thanks for your advice. I couldn’t afford to go private and I don’t see why I should when I pay my taxes. The nhs in useless these days isn’t it.